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MR. TIMOTHY JOHN DODSON RPH
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist >> Pharmacist >> Pharmacy Service ProvidersRegistrant NPI Number: 1699914523
Individual Registrant:MR. TIMOTHY JOHN DODSON RPH
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
21633 CUSTER TRL NEMO, SD 57759-7609 US
Tel: 605-578-3831 Fax: --
Tel: 605-578-3831 Fax: --
Contact information for business:
21633 CUSTER TRL NEMO, SD 57759-7609 US
Tel: 605-578-3831 Fax: --
Tel: 605-578-3831 Fax: --
Registration Information:
NPI: 1699914523
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 1835P0018X | Pharmacy Service Providers Pharmacist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | SD | R3824 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
